Etoposide in Treating Patients With Advanced Ovarian or Cervical Cancer
Study Details
Study Description
Brief Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.
PURPOSE: Phase II trial to study the effectiveness of etoposide in treating patients who have refractory, recurrent, or metastatic ovarian or cervical cancer.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Detailed Description
OBJECTIVES: I. Determine the efficacy of prolonged oral etoposide (VP-16) in patients with advanced ovarian epithelial or cervical cancer. II. Evaluate the frequency and severity of observed adverse effects in this patient population treated with prolonged oral VP-16.
OUTLINE: Patients receive etoposide by mouth once daily on days 1-21 every 4 weeks. Patients with responding disease continue treatment for up to 12 months in the absence of disease progression or unacceptable toxicity. Patients with stable disease continue treatment for up to 6 months in the absence of disease progression or unacceptable toxicity.
PROJECTED ACCRUAL: If 4-6 responses are observed in the first 25 patients, an additional 15 patients will be entered. The estimated duration of the study is 8 months.
Study Design
Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
DISEASE CHARACTERISTICS: Histologically confirmed recurrent or metastatic ovarian epithelial or cervical cancer Tissue not accessible for biopsy Refractory to curative therapy or established treatments and ineligible for higher priority GOG protocols Measurable disease required, as follows: Lesion measurable by physical exam Lesion bidimensionally measurable on sonogram or imaging Ascites/pleural effusion not measurable
PATIENT CHARACTERISTICS: Age: Any age Performance status: GOG 0-2 Hematopoietic: WBC at least 3,000/mm3 Absolute granulocyte count at least 1,500/mm3 Platelets at least 100,000/mm3 Hepatic: Bilirubin no more than 1.5 times normal AST no more than 3 times normal Alkaline phosphatase no more than 3 times normal Renal: Creatinine no greater than 2.0 mg/dL Other: Body surface area at least 1 square meter No requirement for intravenous hydration or nutritional support No significant infection No second malignancy other than nonmelanomatous skin cancer
PRIOR CONCURRENT THERAPY: Biologic therapy: At least 3 weeks since anticancer therapy Chemotherapy: No more than 1 prior chemotherapy trial No prior etoposide At least 3 weeks since chemotherapy and recovered Endocrine therapy: At least 3 weeks since anticancer therapy Radiotherapy: At least 3 weeks since radiotherapy Surgery: At least 3 weeks since surgery and recovered
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University of Alabama Comprehensive Cancer Center | Birmingham | Alabama | United States | 35294 |
2 | USC/Norris Comprehensive Cancer Center | Los Angeles | California | United States | 90033-0800 |
3 | Jonsson Comprehensive Cancer Center, UCLA | Los Angeles | California | United States | 90095-1781 |
4 | Chao Family Comprehensive Cancer Center | Orange | California | United States | 92868 |
5 | Stanford University Medical Center | Stanford | California | United States | 94305-5408 |
6 | University of Colorado Cancer Center | Denver | Colorado | United States | 80262 |
7 | Vincent T. Lombardi Cancer Research Center, Georgetown University | Washington | District of Columbia | United States | 20007 |
8 | Walter Reed Army Medical Center | Washington | District of Columbia | United States | 20307-5000 |
9 | H. Lee Moffitt Cancer Center and Research Institute | Tampa | Florida | United States | 33612 |
10 | Emory University Hospital - Atlanta | Atlanta | Georgia | United States | 30322 |
11 | MBCCOP - Hawaii | Honolulu | Hawaii | United States | 96813 |
12 | Rush-Presbyterian-St. Luke's Medical Center | Chicago | Illinois | United States | 60612 |
13 | University of Chicago Cancer Research Center | Chicago | Illinois | United States | 60637 |
14 | Indiana University Cancer Center | Indianapolis | Indiana | United States | 46202-5265 |
15 | University of Iowa Hospitals and Clinics | Iowa City | Iowa | United States | 52242 |
16 | Albert B. Chandler Medical Center, University of Kentucky | Lexington | Kentucky | United States | 40536-0084 |
17 | Johns Hopkins Oncology Center | Baltimore | Maryland | United States | 21287 |
18 | University of Massachusetts Memorial Medical Center | Worcester | Massachusetts | United States | 01655 |
19 | CCOP - Ann Arbor Regional | Ann Arbor | Michigan | United States | 48106 |
20 | Barbara Ann Karmanos Cancer Institute | Detroit | Michigan | United States | 48201 |
21 | University of Minnesota Cancer Center | Minneapolis | Minnesota | United States | 55455 |
22 | University of Mississippi Medical Center | Jackson | Mississippi | United States | 39216-4505 |
23 | Washington University School of Medicine | Saint Louis | Missouri | United States | 63110 |
24 | Cooper Hospital/University Medical Center | Camden | New Jersey | United States | 08103 |
25 | Cancer Center of Albany Medical Center | Albany | New York | United States | 12208 |
26 | State University of New York Health Science Center at Brooklyn | Brooklyn | New York | United States | 11203 |
27 | University of Rochester Cancer Center | Rochester | New York | United States | 14642 |
28 | State University of New York Health Sciences Center - Stony Brook | Stony Brook | New York | United States | 11790-7775 |
29 | Lineberger Comprehensive Cancer Center, UNC | Chapel Hill | North Carolina | United States | 27599-7295 |
30 | Duke Comprehensive Cancer Center | Durham | North Carolina | United States | 27710 |
31 | Comprehensive Cancer Center of Wake Forest University Baptist Medical Center | Winston-Salem | North Carolina | United States | 27157-1082 |
32 | Barrett Cancer Center, The University Hospital | Cincinnati | Ohio | United States | 45219 |
33 | Ireland Cancer Center | Cleveland | Ohio | United States | 44106-5065 |
34 | Cleveland Clinic Cancer Center | Cleveland | Ohio | United States | 44195 |
35 | Arthur G. James Cancer Hospital - Ohio State University | Columbus | Ohio | United States | 43210 |
36 | University of Oklahoma College of Medicine | Oklahoma City | Oklahoma | United States | 73190 |
37 | Abington Memorial Hospital | Abington | Pennsylvania | United States | 19001 |
38 | Milton S. Hershey Medical Center | Hershey | Pennsylvania | United States | 17033 |
39 | University of Pennsylvania Cancer Center | Philadelphia | Pennsylvania | United States | 19104 |
40 | Kimmel Cancer Center of Thomas Jefferson University - Philadelphia | Philadelphia | Pennsylvania | United States | 19107 |
41 | Fox Chase Cancer Center | Philadelphia | Pennsylvania | United States | 19111 |
42 | Medical University of South Carolina | Charleston | South Carolina | United States | 29425-0721 |
43 | CCOP - Upstate Carolina | Spartanburg | South Carolina | United States | 29303 |
44 | Simmons Cancer Center - Dallas | Dallas | Texas | United States | 75235-9154 |
45 | Cancer Center, University of Virginia HSC | Charlottesville | Virginia | United States | 22908 |
46 | University of Washington Medical Center | Seattle | Washington | United States | 98195-6043 |
47 | Tacoma General Hospital | Tacoma | Washington | United States | 98405 |
Sponsors and Collaborators
- Gynecologic Oncology Group
- National Cancer Institute (NCI)
Investigators
- Study Chair: Peter G. Rose, MD, University Hospitals Seidman Cancer Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CDR0000077078
- GOG-26LL